Active NPI 1831355643 Individual Practitioner Male Practitioner

Dr. Kevin Wayne Potter , DO

Surgery • Glendale, AZ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Kevin Potter, DO is a certified Surgery practicing in Glendale, AZ. With approximately 23 years of clinical experience since completing medical education in 2003, Dr. Potter delivers high-quality medical care to the local community at 7330 N 99TH AVE STE 200A.

Dr. Potter is affiliated with Sjhmc Physician Services and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7330 N 99th Ave Ste 200a

Glendale, AZ 853073018

Telephone 6024063400

Fax 6024060270

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Glendale, AZ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs -1.6 yrs vs City Avg

City Avg: 24.6 Yrs

State Avg: 23.6 Yrs

Regional Practice Density

28 Specialists

Practicing in Glendale, AZ (801 Statewide)

Telehealth Adoption Rate

14.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

62.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Potter (23 Years) 23 Yrs

Glendale Specialty Average (24.6 Years) 24.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	31	21	$200.71	$83.48
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$293.05	$104.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$420.07	$151.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	41	29	$207.00	$85.56
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$297.00	$110.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	27	16	$207.00	$88.58
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	14	$300.00	$125.27
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$297.00	$109.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$454.00	$163.24

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	50	34	$195.98	$89.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$285.52	$110.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	12	$291.00	$120.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$440.71	$155.98
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$630.08	$130.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	37	26	$362.00	$133.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$268.00	$103.34
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	21	$268.00	$103.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$410.00	$163.41
99213 Established patient office or other outpatient visit, typically 15 minutes	27	23	$185.19	$69.67
47562 Removal of gallbladder using an endoscope	11	11	$1661.00	$642.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	34	27	$182.00	$71.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$410.00	$155.77
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	24	$268.00	$108.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$268.00	$97.66
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$882.28	$133.56
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	12	11	$2820.00	$790.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$268.07	$105.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	15	$306.67	$105.62
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$386.88	$187.42
99213 Established patient office or other outpatient visit, typically 15 minutes	15	13	$182.20	$71.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$410.00	$161.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$409.71	$161.75

Medical Specialties & State Licenses

CMS Verified: 2026-06-08

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License AZ 005313

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

445137 (AZ)

Commercial Insurance / Payer ID Medicare

Z199540 (AZ)

Hospital & Practice Group Affiliations

Sjhmc Physician Services

500 W Thomas Rd, Phoenix, AZ 850134235

Phone: 6024066017

Sjhmc Physician Services

7330 N 99th Ave, Glendale, AZ 853073003

Secondary Practice Locations

625 N 6th St Ste 402

Phoenix, AZ 850043067

Phone: 6024068222

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners

Romelda Antonio , FNP

Nurse Practitioner - Family

NPI 1083018345

Family Nurse Practitioner

Dr. Ryan Pinnell , DO

Surgery

NPI 1174818173

Doctor of Osteopathic Medicine (D.O.)

Dr. David Burk , MD

Orthopaedic Surgery - Adult Reconstructive Orthopaedic Surgery

NPI 1457613150

Doctor of Medicine (M.D.)

Dr. Lauren Rabach , MD

Surgery

NPI 1487072146

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events

📍

Updated Practice Location April 15, 2026

Registered at 7330 N 99TH AVE STE 200A, GLENDALE, AZ 853073018 (Tel: 6024063400)

📍

Updated Practice Location May 18, 2021

Registered at 7330 N 99TH AVE STE 200, GLENDALE, AZ 853073018 (Tel: 6024064786)

📍

Updated Business Mailing Address May 18, 2021

Registered at PO BOX 33269, PHOENIX, AZ 850673269 (Tel: 6024064786)

📍

Updated Practice Location September 10, 2019

Registered at 7330 N 99TH AVE STE 325, GLENDALE, AZ 853073022 (Tel: 6022091474)

📍

Updated Business Mailing Address September 10, 2019

Registered at 3815 E BELL RD STE 2200, PHOENIX, AZ 850322139 (Tel: 6026333848)

✅

NPI Profile Active May 31, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location May 31, 2012

Registered at 500 W THOMAS RD, STE. 230, PHOENIX, AZ 850134224 (Tel: 6024064440)

📍

Updated Business Mailing Address May 31, 2012

Registered at FILE 56765, LOS ANGELES, CA 900746765 (Tel: 6024063860)

👤

Provider Name / Credentials Updated May 31, 2012

Recorded as KEVIN POTTER, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 31, 2012

Surgery (License #005313 in AZ)

🟢

Initial NPI Registration & Enumeration July 31, 2008

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1831355643

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 31, 2008

Last Update: June 08, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 33269

Phoenix, AZ 850673269

Phone: 6024064786

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.